2022
Psychological Attachment Orientation and Long-Term Posttraumatic Stress Symptoms Among Family Members of ICU Patients
Zhang Q, Knies AK, Pach J, Kimbrough T, Martinez A, Juthani P, Tu S, Monin JK, Vranceanu AM, Hwang DY. Psychological Attachment Orientation and Long-Term Posttraumatic Stress Symptoms Among Family Members of ICU Patients. Critical Care Explorations 2022, 4: e0753. PMID: 36050994, PMCID: PMC9426807, DOI: 10.1097/cce.0000000000000753.Peer-Reviewed Original ResearchICU patientsPTSD symptomsICU dischargeHispanic ethnicityFamily meetingsFamily membersICU patients' family membersProspective cohort studyMultiple logistic regressionLong-term PTSD symptomsPatients' family membersHigh-risk categoryLonger-term posttraumatic stress symptomsPosttraumatic stress disorder (PTSD) symptomsNeuroscience ICUEvent Scale-RevisedCohort studyIndependent predictorsPatient characteristicsRisk factorsPatient deathUnivariate analysisPatient covariatesSignificant symptomsPsychologic outcomes
2021
Predictors of Family Dissatisfaction with Support During Neurocritical Care Shared Decision-Making
Weber U, Zhang Q, Ou D, Garritano J, Johnson J, Anderson N, Knies AK, Nhundu B, Bautista C, Huang KB, Vranceanu AM, Rosand J, Hwang DY. Predictors of Family Dissatisfaction with Support During Neurocritical Care Shared Decision-Making. Neurocritical Care 2021, 35: 714-722. PMID: 33821402, PMCID: PMC8021441, DOI: 10.1007/s12028-021-01211-6.Peer-Reviewed Original ResearchConceptsFormal family meetingsICU admissionFamily meetingsNeuro-ICURetrospective observational cohort studyObservational cohort studyUS academic centersFamilies of patientsBroad inclusion criteriaFamily satisfactionTop-box responsesFamily membersNeuroscience ICUICU dischargeICU courseCohort studyIll patientsAvailable patientsPatient variablesFamily dissatisfactionInclusion criteriaPatientsAcademic centersPatient lengthAverage patient length
2020
Psychological Attachment Orientations of Surrogate Decision-Makers and Goals-of-Care Decisions for Brain Injury Patients in ICUs
Knies AK, Zhang Q, Juthani P, Tu S, Pach J, Martinez A, Monin JK, Hwang DY. Psychological Attachment Orientations of Surrogate Decision-Makers and Goals-of-Care Decisions for Brain Injury Patients in ICUs. Critical Care Explorations 2020, 2: e0151. PMID: 32696015, PMCID: PMC7340333, DOI: 10.1097/cce.0000000000000151.Peer-Reviewed Original ResearchLife-sustaining therapyBrain injury patientsAcute brain injury patientsInjury patientsTherapy selectionNonwhite racePoor prognosisFisher's exact testAcademic medical centerCross-sectional surveyNeuroscience ICUPatient demographicsIndependent predictorsMedical CenterComfort measuresExact testConsecutive samplePatientsEligible respondentsTherapyICUCare decisionsFuture interventionsMultivariate modelSignificant predictors
2018
Dedicated Afternoon Rounds for ICU Patients’ Families and Family Satisfaction With Care
Weber U, Johnson J, Anderson N, Knies AK, Nhundu B, Bautista C, Huang KB, Hamza M, White J, Coppola A, Akgün KM, Greer DM, Marcolini EG, Gilmore EJ, Petersen NH, Timario N, Poskus K, Sheth KN, Hwang DY. Dedicated Afternoon Rounds for ICU Patients’ Families and Family Satisfaction With Care. Critical Care Medicine 2018, 46: 602-611. PMID: 29300237, DOI: 10.1097/ccm.0000000000002963.Peer-Reviewed Original ResearchConceptsOverall family satisfactionNeuroscience ICUFamily satisfactionCoordination of careAfternoon roundsICU admissionPrimary outcomeICU patientsBedside visitsMean prePostimplementation designComfort measuresPatient's familySecondary analysisICUPatientsCareNursing leadersScoresFamily supportFamily membersWeeksEmotional supportPreComplete satisfaction
2014
Consistency of communication among intensive care unit staff as perceived by family members of patients surviving to discharge
Hwang DY, Yagoda D, Perrey HM, Tehan TM, Guanci M, Ananian L, Currier PF, Cobb J, Rosand J. Consistency of communication among intensive care unit staff as perceived by family members of patients surviving to discharge. Journal Of Critical Care 2014, 29: 134-138. PMID: 24475496, DOI: 10.1016/j.jcrc.2013.09.009.Peer-Reviewed Original ResearchConceptsMedical ICUIntensive care unit staffHours of admissionProspective cohort studyFamily membersNeuroscience ICUEligible patientsICU dischargeAdult patientsCohort studyUniversity HospitalUnit staffICUPatientsAdmissionAdverse effectsMultiple episodesConsistency of communicationEpisodesMedical decisionsStaffHospitalUnit familySatisfaction
2013
830
Hwang D, Robinson J, Bautista C, White J, McAnaney M, Coppola A, Poskus K. 830. Critical Care Medicine 2013, 41: a207. DOI: 10.1097/01.ccm.0000440068.30206.00.Peer-Reviewed Original ResearchICU experienceExact testIntensive care unit patientsOngoing research protocolsAPACHE II scoreCare unit patientsTime of dischargeLength of stayFormal family meetingsFisher's exact testPrevious ICU experienceFamily membersNeuroscience ICUNICU admissionII scoreICU carePatient ageUnit patientsICU patientsCurrent admissionInsurance statusConsecutive cohortCritical carePatient's familyICU
2012
890
Hwang D, Yagoda D, Perrey H, Tehan T, Guanci M, Ananian L, Currier P, Cobb J, Rosand J. 890. Critical Care Medicine 2012, 40: 1-328. DOI: 10.1097/01.ccm.0000425105.43016.0e.Peer-Reviewed Original ResearchNeuroscience ICUMedical ICUCare providersIntensive care unit patientsHours of admissionCare unit patientsFamilies of patientsDifferent care providersCrucial medical decisionsMedical decisionsPotential adverse effectsEligible patientsUnit patientsICU patientsICU staffSingle hospitalComfort measuresICUPatientsAdverse effectsNovel questionnaireMultiple episodesAdmissionDiscordant informationEpisodes